Is J-Plasma better than traditional liposuction? I am 33 slim but gained a few extra pounds and was consisting athletic BBL

Question

Concerned about loose skin after traditional liposuction vs possible J Plasma fibrosis or other adverse effects. Which gives the best overall result?

Jason Emer, MD · Answer

loose skin needs skin removal or internal heating.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

George Marosan, MD · Answer

Thank you for your question. Photos would've been helpful. J-Plasma or Renuvion is not interchangeable with liposuction. Liposuction removes fat, J-Plasma tightens skin. Often these procedures are done during the same surgery. If you want a BBL, especially if you are thin, you need to see a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. He/she can decide what would be the best procedure for you. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

I purchased the J plasma equipment a little over a year ago. I use the equipment for a year and found that it had virtually zero impact on skin tightening or any other advantageous benefit. The only difference I found was that my patients had increased pain during and after the procedure.

Personally I think this device is a bit of a hoax and will eventually become obsolete and undesirable. It is still being prompted and advertised and heavily promoted.

This has been the case with multiple technologies. I believe J plasma will follow the same path that smart Lipo did 20 years ago.

It was considered and sold as the state of the art ideal procedure with skin tightening and fat reduction. In the end the only possible way to significantly tighten skin is to surgically remove it.

Without posting pictures we can’t make any type of assessment in regards to your candidacy for Liposuction or fat transfer.

I suggest focusing all your efforts on finding the best provider and not chasing after what is the best equipment.

That single variable is the only one that really matters.

Best, 
Mats Hagstrom MD

Is J-Plasma better than traditional liposuction? I am 33 slim but gained a few extra pounds and was consisting athletic BBL

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Is J-Plasma better than traditional liposuction? I am 33 slim but gained a few extra pounds and was consisting athletic BBL

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